O'Riordan Kenneth J, Aburto Maria R, Nagpal Jatin, Clarke Gerard, Cryan John F
APC Microbiome Ireland, University College Cork, Cork, Ireland.
Department of Anatomy and Neuroscience, University College Cork, Cork, Ireland.
Adv Exp Med Biol. 2025;1477:139-203. doi: 10.1007/978-3-031-89525-8_6.
The gut microbiota, consisting of trillions of microorganisms, plays a critical role in regulating host physiology, including metabolism, immune responses, and brain function. This chapter examines the microbiota-gut-brain axis, a multifaceted bidirectional communication system connecting gut microbial activity with central nervous system processes through immune pathways, metabolic byproducts, and neural circuits like the vagus nerve. The evolution of the gut microbiota throughout an individual's life-from early developmental influences like birth mode and antibiotic use to changes associated with aging and neurodegenerative conditions-highlights its dynamic nature. The chapter reviews experimental approaches and microbiome-based interventions to demonstrate the influence of gut microbiota on neurological conditions such as autism spectrum disorder, anxiety, and Alzheimer's disease. Finally, it emphasises the importance of advancing microbiome-targeted therapies, integrating emerging technologies, and clinical trials to develop personalised strategies for enhancing brain health through gut microbiome modulation.
肠道微生物群由数万亿微生物组成,在调节宿主生理机能方面发挥着关键作用,包括新陈代谢、免疫反应和大脑功能。本章探讨微生物群-肠道-大脑轴,这是一个多方面的双向通信系统,通过免疫途径、代谢副产物以及迷走神经等神经回路,将肠道微生物活动与中枢神经系统过程联系起来。肠道微生物群在个体一生中的演变——从出生方式和抗生素使用等早期发育影响到与衰老和神经退行性疾病相关的变化——凸显了其动态特性。本章回顾了实验方法和基于微生物组的干预措施,以证明肠道微生物群对自闭症谱系障碍、焦虑症和阿尔茨海默病等神经疾病的影响。最后,强调了推进以微生物组为靶点的治疗、整合新兴技术以及开展临床试验以制定通过调节肠道微生物群来增强大脑健康的个性化策略的重要性。